1972, 06-16 Permit App: J3412 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind' or alter any building or structure already erected, or to change a land use. Construction mast conform with rhe
SpokAne County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATEId. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner 2144 IAJ E JO H /457V A.) Address 12E0`( SPtte47,.4 Phone q26'- 5700
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) pAAJCeL i' /5 yL/' O7.0/
Lo7' 7, £LK 1. L Later', A�-
DESCRIPTION OF WORK: New_ Addition
Size of Lot %tl Z X 92.'
Const. i-2ct 01 -le Dimensions RH 'r 23 ' -t 18 X 2Y
Remodel
Moving
Bldg. Zone
Sewage System SeboT to.
l
Total Sq. Ft. /$Sc7
(Frame, concrete, brick, etc.) �v
Rooms_ Baths 1 Basement 0 -- Foundation Const c_ t c e e Te.
(Full, part, none)
Heat. System Elec.-T-8. a . Type of Roofing 'ca .•p
Use of Bldg. S.a..y!e rc//J� [ /
d
-
.�n.. L y / e'Sr d'.4Ce-
e
Oprage or Carport Attached /tiO IV r'
Ext Finish 141/4. ttn . 7C
PLOT PLAN
w1
Fire Zone
Stories /Y2 -
Valuation /q. oo c7
Chimney 11I ETt4t- Fireplace 1t% v
(Kind) (Number)
Int. Wall Finish 5.4 e e.T A2oc C
No. of Units 1 Bedrooms 2
Private lletitched
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing air
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
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I hereby cert
ds shown. \,
ACKI G 50UTH /z2-ol
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State License No.
123.-0i-6,253
Ind. Ins. Acct. No.
9/- 068 — 4995
REQUIRED
Plumbing Permjt
Heating Permit CI;
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
�in�Ama.tion subp}it,C�d is correct/and there are no other structures locate ti on thj,s property except
Owner
Owner Aget
A LAND USE OR STRU
THIS IS NOT A PERMIT.
.c>
Date
EERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
rerks
Building Per
The zone is C -Gy L{
ReceiptSC lj Issued
Form 523 Bldo. Code
4
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PLOT PLi9N
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